Pseudotumoral form of cerebral Schistosomiasis Mansoni.

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Fr Romero, Ma Zanini, Lg Ducati, Rc Gabarra, Gr Haddad, V de Souza

Author Information

Fr Romero: Neurosurgery Division, São Paulo State University, UNESP, Botucatu, Brazil.
Ma Zanini: Neurosurgery Division, São Paulo State University, UNESP, Botucatu, Brazil.
Lg Ducati: Neurosurgery Division, São Paulo State University, UNESP, Botucatu, Brazil.
Rc Gabarra: Neurosurgery Division, São Paulo State University, UNESP, Botucatu, Brazil.
Gr Haddad: Neurosurgery Division, São Paulo State University, UNESP, Botucatu, Brazil.
V de Souza: Neurosurgery Division, São Paulo State University, UNESP, Botucatu, Brazil.

PMID: 24960795 DOI: 10.1093/jscr/2012.9.9

The authors report a case of 36-year-old woman presented with epileptic seizures and headaches. Magnetic resonance imaging (MRI) revealed an enhancing lesion with surrounding edema and mild mass effect in the left frontal lobe. Stereotactic brain biopsy demonstrated intraparenchymal granulomas surrounding S. mansoni eggs. Praziquantel was started (60mg/kg of body weight, in a single dose), followed by Prednisone (80mg/day) for seven days to treat the cerebral edema. The patient's symptoms resolved following medical treatment and the follow-up MRI yielded normal findings.

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